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Individual

MRS. ANGELA MARIE TODD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1306 GEMINI CIR STE 1, OTTAWA, IL 61350
(815) 433-9200
(815) 705-1716
Mailing address
725 SCHOOL ST STE A, MORRIS, IL 60450-1207
(815) 941-9124
(815) 941-4363

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.010887
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209.010887
IL LICENSE
IL
Enumeration date
03/17/2014
Last updated
05/10/2021
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